Individual ProviderJacqueline NewboldCommunity Health WorkerOther Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 773-7060PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Newbold does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1013662576Provider TypeIndividualFull NameNewbold, JacquelineGenderFemaleSole ProprietorNoEnumeration Date2/14/2022Last Updated2/14/2022Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060Fax(801) 336-1787Mailing LocationMailing Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060Fax(801) 336-1787Provider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer